Individual
NICOLA WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3580 MAIN ST STE E, HARTFORD, CT 06120-1121
(860) 778-5317
Mailing address
12 FREEMAN ST FL 2, HARTFORD, CT 06114-2719
(860) 922-7376
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CT
1041C0700X
Clinical Social Worker
—
CT
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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